Lomber Disk Hernili Hastalarda Perkütan Lazer Disk Dekompresyonunun Etkinliği

Amaç: Bu çalışmanın amacı lomber disk hernisine bağlı bel ağrı- sı ve radikülopatisi olan hastalara uygulanan Perkütan Lazer Disk Dekompresyonu’nun etkinliğini ve güvenliğini araştırmaktır. Materyal ve Metot: Çalışma Perkütan Lazer Disk Dekompresyonu uygulanan hastaların dosyalarının retrospektif olarak taranması ile hazırlandı. 2014–2015 yıllarında Perkütan Lazer Disk Dekompresyonu uygulanan ardışık 71 hasta (ortalama yaş 38,6±7,3) çalışmaya dahil edildi. Visual Analog Skala hastaların ağrılarının değerlendirmesi için kullanıldı. Preoperatif Visual Analog Skala skorları, son muayenedeki skorlarıyla karşılaştırıldı. Tüm parametreler Student paired-sample t test ile analiz edildi ve p<0,05 istatistiksel olarak anlamlı kabul edildi. Bulgular: L3–4 mesafesinden opere olan 15, L4–5 mesafesinden opere olan 30, L5-S1 mesafesinden opere olan 26 hastaydı. Hastaların operasyondan önceki ortalama Visual Analog Skala skoru 6,5±1,2’ten son nörolojik muayenelerinde ise 3,4±0,7’e düş- müştü. Tüm değişiklikler istatistiksel olarak anlamlıydı. Sonuç: Seçilmiş olgularda Perkütan Lazer Disk Dekompresyonu’nun kısa ve orta dönemde etkin ve güvenli bir yöntem olduğu görülmüştür.

Anahtar Kelimeler:

lomber disk hernisi; perkütan lazer dekompresyon; ağrı

Efficacy of the Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation

Aim: The aim of this study is to examine the safety and efficacy of the Percutaneous Laser Disc Decompression which is applied to patients with lower back pain and radiculopathy due to lumbar disc hernia. Material and Method: In this study, we retrospectively examined the data of patients who underwent Percutaneous Laser Disc Decompression. Consecutive 71 patients who underwent Percutaneous Laser Disc Decompression between 2014 and 2015 were included in the study (average age 38.6±7.3). Visual Analog Scale was used in order to evaluate the pain levels of patients. Preoperative Visual Analog Scale scores were compared to scores obtained from the last examination. Student paired-sample t test was used in order to analyze all parameters by considering the statistical significance as p<0.05. Results: There were 15 patients who were operated at L3–4 segment, there were 30 patients who were operated at L4–5 segment and there were 26 patients who were operated at L5-S1 segment. Mean Visual Analog Scale scores of patients before the operation decreased from 6.5±1.2 to 3.4±0.7 in the last neurological examination. All changes were statistically significant. Conclusion: In selected cases, Percutaneous Laser Disc Decompression is an effective and safe technique in the short and medium term.

Keywords:

lumbar disc herniation; percutaneous laser decompression; pain,

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